3270.72(d) · Windows or doors above the ground floor that open directly to the outdoors and are accessible to children shall be constructed, modified or adapted to limit the opening to 6 or fewer inches.

Windows in the Teddy Bears room (2nd floor) opened more than 6 inches. (CORRECTED ON SITE)

Corrected Corrected by Mar 27, 2025

Category: physical safety. Marked corrected in the state record.

3270.151(c)(3)/3270.151(c)(5) · An adult health assessment must include an examination for communicable diseases and the results of that examination. An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care.

A health assessment form was on file for staff person #2, but the medical care provider did not fill out answer to the questions. The form did not indicate if a physical was done, did not include an examination for communicable diseases and the results of that examination, and did not include the physician's or CRNP's assessment of the person's suitability to provide child care.

Corrected Corrected by Mar 31, 2025

Category: health medication. Marked corrected in the state record.

3270.192(5) · A facility person's record shall include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

The record for facility person #1 included just one written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Corrected Corrected by Mar 27, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.31(e)(4)(i) · Competence is the completion of training by a professional in the field of first-aid and cardiopulmonary resuscitation (CPR). All staff persons shall renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification.

Staff persons 1, 2, and 3 did not renew their pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) prior to the expiration of their previous certification. The previous training was dated in March of 2022 and expired at the end of March of 2024. Staff persons 1, 2, and 3 received updated trainings on April 1st, 2024.

Corrected Corrected by Apr 1, 2024

Category: ratio. Marked corrected in the state record.

3270.31(e)(4)(ii) · Staff persons shall participate, at least annually, in firesafety training conducted by a fire protection professional. Staff persons and volunteers shall receive training in maintenance of smoke detectors, the duties of facility persons during a fire drill and during a fire and the use of the facility's fire extinguishers, not including discharge of the fire suppressant agent.

The fire safety trainings on file for staff person #6 were dated in May of 2023, and subsequently more than 12 months later in July of 2024.

Corrected Corrected by Sep 4, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.76 · Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards.

The surface under the diaper changing mat in the infant room was visibly dirty. (CORRECTED ON SITE)

Corrected Corrected by Aug 27, 2024

Category: health medication. Marked corrected in the state record.

3270.82(h) · A facility person and an able child shall wash his hands after toileting and before eating. A sign on which this requirement is written shall be posted at each toilet, training chair, diapering area and sink in the facility.

A handwashing sign was not posted in the girl's bathroom in the downstairs hallway.

Corrected Corrected by Aug 27, 2024

Category: health medication. Marked corrected in the state record.

3270.102(a) · Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts.

Loose boards with exposed staples were observed on the wooden house on the preschool playground.

Corrected Corrected by Sep 5, 2024

Category: physical safety. Marked corrected in the state record.

3270.131(b)(2) · The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child.

The health reports on file for child #1 were dated in February of 2023, and subsequently more than 12 months later in May of 2024.

Corrected Corrected by Aug 27, 2024

Category: health medication. Marked corrected in the state record.

3270.31(f)(10) · Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire.

Staff persons 4 and 5 did not complete professional development in an approved pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire. The training on file for staff person 4 was dated 224 days after hire, and the training on file for staff person 5 was dated 221 days after hire.

Corrected Corrected by Sep 4, 2024

Category: health medication. Marked corrected in the state record.

3270.103 · Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths.

Landscaping mulch was observed along the edge of the toddler playground. The mulch was within reach of the toddlers that use the space.

Corrected Corrected by Oct 11, 2023

Category: physical safety. Marked corrected in the state record.

3270.95(a) · Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. §  1016(c)). To verify operability, a child care center shall manually test all fire detection devices or systems at least once every thirty days and shall maintain a written record of the testing with the facility's fire drill logs.

According to the log on file at the time of inspection, more than 30 days have lapsed since all of the fire detection devices (smoke detectors) were last tested.

Corrected Corrected by Oct 3, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.113(b) · A facility person may not use any form of physical punishment, including spanking a child.

Staff person 1 was observed on video grabbing child 1 by the shirt and moving him across the hall and then scolding him. Child 2 was then observed speaking to the staff person, and then the staff person forcefully moved that child by the arms to the front of the line.

Corrected Corrected by Sep 27, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.14/3270.21 · A facility shall be operated in conformity with applicable Federal and State laws and regulations.State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children. The operator shall require all child care staff have verification of completion of all the required health and safety training topics prior to caring for children unsupervised.

The records for staff persons 1 and 2 did not include the Pennsylvania Health and Safety update training which was to be completed by 12/30/2022. Staff person 3 has not completed the required Center-based health and safety training. The 10 hour training for family child care providers was on file. The staff person is serving as an AGS at the facility and is working alone with children.

Corrected Corrected by Aug 14, 2023

Category: supervision. Marked corrected in the state record.

3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Facility Person #4 may not work in a child care position at the facility.

The record for staff person 4 included volunteer clearances (State Police and Child Abuse) in-lieu of the required employment clearances.

Corrected Corrected by Aug 14, 2023

Category: background checks. Marked corrected in the state record.

3270.36(b)(5)/3270.192(2)(ii) · An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children. A facility person's record shall include verification of child care experience, education and training prior to service at the facility. For purposes of calculating, 1 year of child care experience is a minimum of 1,250 clock hours.

Staff person 7 is serving as an AGS at the facility. The staff person's record did not include documentation of 2,500 hours (2 years) of child care experience. *The staff record included a reference that stated the staff person had provided childcare from November 2017 through April 2023, but was not clear on the number of hours worked.

Corrected Corrected by Aug 23, 2023

Category: supervision. Marked corrected in the state record.

3270.103 · Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths.

Plastic bags were observed in cubbies (accessible to one year olds) in the Teddy Bear room. (CORRECTED ON SITE)

Corrected Corrected by Aug 10, 2023

Marked corrected in the state record.

3270.124(b)(3)/3270.124(b)(6) · Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent. Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

The emergency contact forms on file for children 1-3 were incomplete. The emergency contact information on file for child 1 did not include the enrolling parent's work address and work phone number. (CORRECTED ON SITE) The emergency contact information on file for children 2 and 3 did not include the child's health insurance policy number. (CORRECTED ON SITE)

Corrected Corrected by Aug 11, 2023

Category: health medication. Marked corrected in the state record.

3270.151(a)/3270.151(c)(2) · A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem. An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department.

The TB test on file for staff person 5 was more than 12 months old when the staff person began providing initial service in the childcare setting.

Corrected Corrected by Aug 16, 2023

Category: ratio. Marked corrected in the state record.

3270.151(c)(5) · An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care.

The health assessment on file for staff person 6 did not include the physician's or CRNP's assessment of the person's suitability to provide child care.

Corrected Corrected by Aug 14, 2023

Category: health medication. Marked corrected in the state record.

3270.95(a) · Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. §  1016(c)).

The smoke detector in the indoor gross motor space was not operational. (CORRECTED ON SITE)

Corrected Corrected by Aug 10, 2023

Category: ratio. Marked corrected in the state record.

3270.21 · Conditions at the facility may not pose a threat to the health or safety of the children.

Facility self-reported: The side of a crib flipped down while in use, and child 1 (younger toddler) fell out of the crib.

Corrected Corrected by Jun 2, 2023

Category: health medication. Marked corrected in the state record.

3270.113(a)/3270.113(a)(1) · Children must be supervised at all times. The legal entity must submit documentation in a format approved by DHS proving that the facility procedure for completing name-to-face checks before and after transitions is followed at all times e.g., a checklist. The legal entity will confirm continuing compliance by sending copies of the documentation to the Regional Office of Child Development and Early Learning on a weekly basis for a period of three months after DHS approves the documentation format.

The facility self-reported the following incident: Staff person 1 miscounted children prior to transitioning the group inside, and left child 1 behind on the preschool playground. Staff person 2 was taking trash out at the time of the supervision lapse. Staff person 2 observed staff person 1 counting the children, and then proceeded to walk around the outside of the playground to the neighboring dumpster. On the walk back to the building, staff person 2 observed child 1 alone on the playground. Simultaneously, the staff on the toddler playground noticed the child was alone. Staff got the child and returned him to staff person 1.

Corrected Corrected by Feb 20, 2023

Category: supervision. Marked corrected in the state record.

3270.113(a)/3270.113(a)(1) · Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises.

The facility self-reported the following incident: Staff person 1 miscounted children prior to transitioning the group inside, and left child 1 behind on the preschool playground. Staff person 2 was taking trash out at the time of the supervision lapse. Staff person 2 observed staff person 1 counting the children, and then proceeded to walk around the outside of the playground to the neighboring dumpster. On the walk back to the building, staff person 2 observed child 1 alone on the playground. Simultaneously, the staff on the toddler playground noticed the child was alone. Staff got the child and returned him to staff person 1.

Corrected Corrected by Nov 5, 2022

Category: supervision. Marked corrected in the state record.

3270.113(a)/3270.113(a)(1) · Children must be supervised at all times. The legal entity must arrange for all facility staff to receive a minimum of two hours of training regarding supervision of children. The legal entity must receive DHS approval of the training content prior to scheduling the training. Training may not count toward the annual 12-hour training requirement. Documentation of completed training must be submitted to the Regional Office of Child Development and Early Learning and must be kept on file at the facility.

The facility self-reported the following incident: Staff person 1 miscounted children prior to transitioning the group inside, and left child 1 behind on the preschool playground. Staff person 2 was taking trash out at the time of the supervision lapse. Staff person 2 observed staff person 1 counting the children, and then proceeded to walk around the outside of the playground to the neighboring dumpster. On the walk back to the building, staff person 2 observed child 1 alone on the playground. Simultaneously, the staff on the toddler playground noticed the child was alone. Staff got the child and returned him to staff person 1.

Corrected Corrected by Jan 11, 2023

Category: supervision. Marked corrected in the state record.

3270.113(a)/3270.113(a)(1) · Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises.

After being picked up at the bus-stop, child 1 (younger school-age) was able to elope from staff person 1 and hide behind the facility. Staff person 1 was solely responsible for 5 additional children at the time, and immediately called for help. Three staff persons were looking for the child within 30 seconds, and the lapse in supervision was estimated to be no more than 2 minutes.

Corrected Corrected by Oct 24, 2022

Category: supervision. Marked corrected in the state record.

3270.77(a) · Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

An area of peeling pain was observed on the wall on the toddler playground.

Corrected Corrected by Sep 6, 2022

Category: physical safety. Marked corrected in the state record.

3270.75(c) · A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves.

The first aid kit in the Cheetahs room did not contain soap. (CORRECTED ON SITE)

Corrected Corrected by Aug 23, 2022

Category: health medication. Marked corrected in the state record.

3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).

Staff person 2 began working in a child care position without a child abuse clearance on file. The child abuse clearance was dated 16 days after the employees start date.

Corrected Corrected by Sep 7, 2022

Category: background checks. Marked corrected in the state record.

3270.75(b)/3270.133(4) · A first-aid kit must be inaccessible to children. Medication shall be stored in a locked area of the facility or in an area that is out of the reach of children.

A backpack containing the first aid kit and medication in the Cheetahs room was stored in an area within reach of the children. (CORRECTED ON SITE)

Corrected Corrected by Aug 23, 2022

Category: health medication. Marked corrected in the state record.

3270.131(b)(2)/3270.131(e)(1) · The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child.The facility shall require the parent to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP.

The most recent health assessment on file for child 1 was more than 12 months old. The health assessment did not include documentation that the child had received an annual flu vaccine during the previous year (per the ACIP guidelines).

Corrected Corrected by Sep 7, 2022

Category: health medication. Marked corrected in the state record.

3270.151(a) · A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem.

The most recent health assessments on file for staff persons 1 and 3 were more than 24 months old and past due to be updated.

Corrected Corrected by Sep 9, 2022

Category: ratio. Marked corrected in the state record.

3270.27(a)(6) · Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility.

The facility was unable to provide documentation of having completed an emergency drill during the previous year. An emergency drill was completed on 9/7/22.

Corrected Corrected by Sep 7, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.171(a) · An operator shall notify local traffic safety authorities annually in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility.

At the time of inspection, the operator had not sent the annual letter to the local traffic safety authorities notifying them of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility.

Corrected Corrected by Sep 7, 2022

Marked corrected in the state record.

3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL.

Staff person 2's PA state police clearance expired on 2/4/21. The updated clearance was not obtained until 5/17/21. Staff person 3's mandated reporter training expired on 6/28/21. The updated training was not completed until 7/27/21.

Corrected Corrected by Aug 20, 2021

Category: background checks. Marked corrected in the state record.

3270.36(b)(5) · An assistant group supervisor shall have a high school diploma or a general educational development certificate and 2 years experience with children.

Staff person 1 was serving as an assistant group supervisor at the time of inspection. She had a high school diploma, but did not have 2 years of experience caring for children. (CORRECTED ON SITE)

Corrected Corrected by Aug 20, 2021

Category: supervision. Marked corrected in the state record.

3270.72(d) · Windows or doors above the ground floor that open directly to the outdoors and are accessible to children shall be constructed, modified or adapted to limit the opening to 6 or fewer inches.

Windows were able to be opened more than 6 inches in two separate rooms that were located above the ground floor. (CORRECTED ON SITE)

Corrected Corrected by Aug 20, 2021

Category: physical safety. Marked corrected in the state record.

3270.95(a) · Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. §  1016(c)). To verify operability, a child care center shall manually test all fire detection devices or systems at least once every thirty days and shall maintain a written record of the testing with the facility's fire drill logs.

According to the written log on file at the time of inspection, more than 30 days lapsed between smoke detector operability tests that took place on 2/8/21, 3/19/21, 4/23/21, and 5/25/21.

Corrected Corrected by Aug 20, 2021

Category: recordkeeping. Marked corrected in the state record.